Active NPI
Temesgen Semere
- Pharmacist
- Annandale, VA
National Provider Identifier
1629664990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206657
- Practice address
- 7205 Little River Tpke
Annandale, VA 22003-3304 - Phone
- (703) 256-4030
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206657 | VA | Primary |
Addresses
Primary practice location
7205 Little River Tpke
Annandale, VA 22003-3304
Mailing address
7205 Little River Tpke
Annandale, VA 22003-3304
Phone (703) 256-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206657 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1629664990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 LITTLE RIVER TPKE",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033304",
"telephone_number": "703-256-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 LITTLE RIVER TPKE",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033304",
"telephone_number": "703-256-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMERE",
"first_name": "TEMESGEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.